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Organization

PENINSULA NEUROLOGY LLC

Active
Other names
Alyeska Neurology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTEN JESSEN M.D., PHD (PHYSICIAN)
(907) 262-7700
Entity
Organization

Contact information

Practice address
206 W ROCKWELL AVE, STE 100, SOLDOTNA, AK 99669-7411
(907) 262-7700
(907) 262-0809
Mailing address
206 W ROCKWELL AVE, STE 100, SOLDOTNA, AK 99669-7411
(907) 262-7700
(907) 262-0809

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4795
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD0369
AK
Enumeration date
08/27/2008
Last updated
08/27/2008
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